Everyday Discrimination, Diabetes-Related Distress, and Depressive Symptoms Among African Americans and Latinos with Diabetes

被引:22
|
作者
LeBron, Alana M. W. [1 ]
Valerio, Melissa A. [2 ]
Kieffer, Edith [3 ]
Sinco, Brandy [3 ]
Rosland, Ann-Marie [4 ]
Hawkins, Jaclynn [3 ]
Espitia, Nicolaus [3 ]
Palmisano, Gloria [5 ]
Spencer, Michael [3 ]
机构
[1] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA
[2] Univ Texas Sch Publ Health Houston, San Antonio, TX USA
[3] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
[4] Univ Michigan Hlth Syst, Dept Internal Med, Ann Arbor, MI USA
[5] Community Hlth & Social Serv Ctr Inc, Detroit, MI USA
关键词
African Americans; Latinos; Hispanics; Discrimination; Diabetes; Mental health; Diabetes-related distress; Depressive symptoms; HISPANIC WHITE ADULTS; MEXICAN-ORIGIN ADULTS; PERCEIVED DISCRIMINATION; MENTAL-HEALTH; CLINICAL DEPRESSION; GLYCEMIC CONTROL; UNITED-STATES; DISPARITIES; PREVALENCE; IMMIGRATION;
D O I
10.1007/s10903-013-9843-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
It is not known how discrimination might affect diabetes-related distress (DRD), an important correlate of diabetes outcomes. We examined correlates of discrimination and the influence of discrimination on DRD and depressive symptoms (DS) for African Americans and Latinos with type 2 diabetes. We analyzed survey data (n = 157) collected at enrollment into a diabetes management intervention. Using multiple linear regression, we examined correlates of discrimination and the association between discrimination and DRD and DS. Discrimination was significantly associated with higher DRD for Latinos (b 1.58, 95 % CI 1.08, 2.31, p < 0.05), but not significant for African Americans (b 0.96, 95 % CI 0.59, 1.57). Discrimination was marginally significantly associated with more DS for Latinos (b 1.43, 95 % CI 0.97, 2.12, p < 0.10), but not significant for African Americans (b 1.21, 95 % CI 0.87, 1.70). These findings suggest the need to address stressors unique to racial/ethnic minorities to improve diabetes-related outcomes.
引用
收藏
页码:1208 / 1216
页数:9
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